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  1. Final Progress Report: Virtual Healthcare Environments Versus Traditional Interactive Team Training (pdf file)

    www.ahrq.gov/sites/default/files/2024-01/taekman-report.pdf
    January 01, 2024 - Final Progress Report: Virtual Healthcare Environments Versus Traditional Interactive Team Training Virtual Healthcare Environments Versus Traditional Interactive Team Training Principal Investigator: Jeffrey M. Taekman, MD Investigative Team: Noa Segall, PhD David Turner, MD Gene Hobbs, CHT Cheryl Jacobs Barb…

  2. Final Progress Report: Effects of Extended Work Hours on ICU Patient Safety (pdf file)

    www.ahrq.gov/sites/default/files/2024-09/czeisler-report.pdf
    January 01, 2024 - Final Progress Report: Effects of Extended Work Hours on ICU Patient Safety Final Progress Report Title: Effects of Extended Work Hours on ICU Patient Safety Principal Investigator: Charles A. Czeisler, Ph.D., M.D. Organization: Brigham and Women's Hospital Co-Investigators: Christopher P. Landrigan, M.D., M.P.H.…

  3. Primary Care Practice Facilitation Curriculum Module 10: Mapping and Redesigning Workflow (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-10-workflow-mapping.pdf
    September 01, 2015 - Primary Care Practice Facilitation Curriculum Module 10: Mapping and Redesigning Workflow Primary Care Practice Facilitation Curriculum Module 10: Mapping and Redesigning Workfow Agency for Healthcare Research and Quality Advancing Excellence in Health Care www.ahrq.gov Primary Care Practice Facili…

  4. Archived: Healthful Diet and Physical Activity for Cardiovascular Disease Prevention in Adults Without Known Risk Factors: Behavioral Counseling | United States Preventive Services Taskforce

    www.uspreventiveservicestaskforce.org/uspstf/recommendation/healthful-diet-and-physical-activity-for-cardiovascular-disease-prevention-in-adults-without-known-risk-factors-behavioral-counseling-july-2017
    July 11, 2017 - Share to Facebook Share to X Share to WhatsApp Share to Email Print archived Final Recommendation Statement Healthful Diet and Physical Activity for Cardiovascular Disease Prevention in Adults Without Known Risk Factors: Behavioral Counseling…

  5. Coronavirus Disease 2019 (COVID-19) and Diagnostic Error | PSNet

    psnet.ahrq.gov/primer/coronavirus-disease-2019-covid-19-and-diagnostic-error
    July 30, 2020 - Coronavirus Disease 2019 (COVID-19) and Diagnostic Error Citation Text: Desai AN, Romano PS. Coronavirus Disease 2019 (COVID-19) and Diagnostic Error. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2022. Copy Citation Format: …

  6. Implementing Shared Decision-Making: Barriers and Solutions—An Orthopedic Case Study | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/reports/liability/mincer.html
    August 01, 2017 - Advances in Patient Safety and Medical Liability Implementing Shared Decision-Making: Barriers and Solutions—An Orthopedic Case Study Previous Page Next Page Table of Contents Advances in Patient Safety and Medical Liability Preface Acknowledgments Prologue Silence A Commentary Reforming t…

  7. An Analysis of Nurses' Cognitive Work: A New Perspective for Understanding Medical Errors (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Potter.pdf
    January 01, 2003 - An Analysis of Nurses' Cognitive Work: A New Perspective for Understanding Medical Errors 39 An Analysis of Nurses’ Cognitive Work: A New Perspective for Understanding Medical Errors Patricia Potter, Laurie Wolf, Stuart Boxerman, Deborah Grayson, Jennifer Sledge, Clay Dunagan, Bradley Evanoff Abstract He…

  8. Spotlight

    psnet.ahrq.gov/sites/default/files/2024-12/spotlight_case_csf_leak_after_elective_spine_surgery_slides_-_final.pptx
    January 01, 2024 - Spotlight Spotlight Management of CSF Leaks After Elective Spine Surgery: Routine Laminectomy Leads to Fatal Discitis and Sepsis 1 Source and Credits This presentation is based on the December 2024 AHRQ WebM&M Spotlight Case See the full article at https://psnet.ahrq.gov/webmm  CME credit is available  Comment…

  9. The Contribution of Diagnostic Errors to Maternal Morbidity and Mortality During and Immediately After Childbirth: State of the Science (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/dxsafety-issuebrief-maternal-morbidity.pdf
    September 01, 2021 - The Contribution of Diagnostic Errors to Maternal Morbidity and Mortality During and Immediately After Childbirth: State of the Science PATIENT SAFETY e Issue Brief 6 The Contribution of Diagnostic Errors to Maternal Morbidity and Mortality During and Immediately After Childbirth: State of the Science This…

  10. Identification, Classification, and Frequency of Medical Errors in Outpatient Diabetes Care (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/OConnor.pdf
    November 29, 2004 - Identification, Classification, and Frequency of Medical Errors in Outpatient Diabetes Care 369 Identification, Classification, and Frequency of Medical Errors in Outpatient Diabetes Care Patrick J. O’Connor, JoAnn M. Sperl-Hillen, Paul E. Johnson, William A. Rush Abstract Objectives: Diabetes-related medic…

  11. The Use of Surgical Simulators to Reduce Errors (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Fried.pdf
    January 01, 2003 - The Use of Surgical Simulators to Reduce Errors 165 The Use of Surgical Simulators to Reduce Errors Marvin P. Fried, Richard Satava, Suzanne Weghorst, Anthony Gallagher, Clarence Sasaki, Douglas Ross, Mika Sinanan, Hernando Cuellar, Jose I. Uribe, Michael Zeltsan, Harman Arora Abstract The training of…

  12. The Use of Modest Incentives to Boost Adoption of Safety Practices and Systems (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Meyer_41.pdf
    March 03, 2008 - The Use of Modest Incentives to Boost Adoption of Safety Practices and Systems The Use of Modest Incentives to Boost Adoption of Safety Practices and Systems Gregg S. Meyer, MD, MSc; David F. Torchiana, MD; Deborah Colton; James Mountford, MB, BCh; Elizabeth Mort, MD; Sarah Lenz; Nancy Gagliano, MD; Elizabet…

  13. Topic Brief: Interventions to Decrease Hospital Length of Stay (pdf file)

    effectivehealthcare.ahrq.gov/system/files/docs/topic-brief-hospital-length-of-stay.pdf
    November 01, 2019 - Description Date submitted: June 28, 2019 Length of Stay Topic Suggestion 1. … Learning Health System If you are you making a suggestion on behalf of an organization, please state … Related Resources References Author Impact of a New Evidence Review Topic Suggestion Description … Length of Stay Topic Suggestion 1. … If you are you making a suggestion on behalf of an organization, please state the name of the organization

  14. Obesity (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/obesity-horizon-scan-high-impact-1306.pdf
    July 01, 2013 - Obesity AHRQ Healthcare Horizon Scanning System – Potential High-Impact Interventions Report Priority Area 10: Obesity Prepared for: Agency for Healthcare Research and Quality U.S. Department of Health and Human Services 540 Gaither Road Rockville, MD 20850 www.ahrq.gov Contract No. HHSA290…

  15. Health Information Technology Support for Safe Nursing Care - 2008 | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/health-information-technology-support-safe-nursing-care/annual-summary/2008
    January 01, 2008 - Health Information Technology Support for Safe Nursing Care - 2008 Project Name Health Information Technology Support for Safe Nursing Care Principal Investigator Keenan, Gail Organization University of Michigan at Ann Arbor Funding Mechanism RFA: HS04-012: Demonstr…

  16. Industrial and Systems Engineering and Health Care: Critical Areas of Research Workshop - Materials Management and Production Processes Group Report (pdf file)

    digital.ahrq.gov/sites/default/files/docs/page/Materials%20Management%20and%20Production%20Processes%20Group%20Report.pdf
    June 16, 2021 - Industrial and Systems Engineering and Health Care: Critical Areas of Research Workshop - Materials Management and Production Processes Group Report 1 Industrial Systems Engineering and Health Care Materials Management and Production Processes Breakout Group —Session Summary Eugene S. Schneller, Ph.D. (c…

  17. Handshake antimicrobial stewardship as a model to recognize and prevent diagnostic errors | PSNet

    psnet.ahrq.gov/innovation/handshake-antimicrobial-stewardship-model-recognize-and-prevent-diagnostic-errors
    September 08, 2021 - EMERGING INNOVATIONS Handshake antimicrobial stewardship as a model to recognize and prevent diagnostic errors Citation Text: Searns JB, Williams MC, MacBrayne CE, et al. Handshake antimicrobial stewardship as a model to recognize and prevent diagnostic errors. Diagnosis (Berl). 2020;8(3):347-352.…

  18. Using Precision Performance Measurement to Conduct Focused Quality Improvement - 2010 | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/using-precision-performance-measurement-conduct-focused-quality-improvement/annual-summary/2010
    January 01, 2010 - Using Precision Performance Measurement to Conduct Focused Quality Improvement - 2010 Project Name Using Precision Performance Measurement to Conduct Focused Quality Improvement Principal Investigator Baker, David Organization Northwestern University Funding Mechanism…

  19. HIT-Based Regional Medication Management Pharmacy System - 2009 | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/hit-based-regional-medication-management-pharmacy-system/annual-summary/2009
    January 01, 2009 - HIT-Based Regional Medication Management Pharmacy System - 2009 Project Name HIT-Based Regional Medication Management Pharmacy System Principal Investigator Schmidt, Mark Organization Cloquet Community Memorial Hospital Funding Mechanism RFA: HS04-011: Transforming…

  20. Neighborhood Telemedicine Access Tool (pdf file)

    digital.ahrq.gov/sites/default/files/docs/resource/mcconnochie.pdf
    January 01, 1994 - Neighborhood Telemedicine Access Tool NEIGHBORHOOD TELEMEDICINE ACCESS Information for Nurses and Doctors who:  Are providing Phone Triage/Management  Want to optimize convenience for families  Want to decrease the burden on staff and providers in our office …
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